Lecture 4 - Global Health Communications - Ch 13

tailor it!

individual; interpersonal; institutional; community; public policy

primary, secondary, tertiary

forestalling disease, while healthy

early diagnosis, after initial infection

rehabilitation, while population has disease and associated disabilities/impairments

needs assessment/research ; set goals/objs ; develop intervention/message ; implement ; evaluate results

human behavior. Changing this behavior is influenced by motivation

intrapersonal (beliefs, knowledge, attitude) ; interpersonal (influences from others) ; institutional (rules, regulations can constrain or promote behaviors) ; community (social norms, networks - may be formal or informal) ; public policy (policy and laws)

health belief model ; stages of change

social cognitive theory

stage of theories of organizational change

community organization theories

motivation to make health issues important ; belief in a serious health threat ; internalize health recommendations and balance between health benefit vs perceived barriers (sacrifices)

(perceived benefits - perceived barriers = action)

precontemplation (6 mo) ; comtemplation (intends to take action) ; preparation (action with next month) ; action ; maintenance

decisional balance: pros and cons are weighed

self-efficacy: confidence (ability to maintain behavior) vs temptation (to engage in unhealthy behavior)

1. no awareness

2. denial

3. vague awareness

4. preplanning

5. preparation

6. initiation

7. stabilization

8. confirmation/expansion

9. professionalism

creating, communicating, and delivering health information and interventions using customer-centered and science-based strategies to protect and promote the health of diverse populations

product, place, place, promotion

define market, segment the market (determine their characteristics) , analyze the market (understand that individual)

having individuals adopt and maintain healthy BEHAVIORS

there is a relative advantage; compatible with social norms; not too complex; can be tried out; you see someone else doing or using it

identify problem, research community characteristics, identify community partners, pre-test, implement and monitor program, evaluate, reassess program, sustainability

Trust, announce early, transparency, the public's concerns, planning

1. skills and knowledge for effective planning and delivery

2. leadership that allows for the organization of existing skills

3. sense of confidence within community to attack the issue

4. existing social capital, trust, connectedness with community

5. environment that supports learning and consideration of new ideas and approaches

Behavioral, environmental, non-changeable (age, gender, etc)

1. Develop mission statement - that reflects the needs assessment

2. Create program goals and objectives

3. Set out intervention activities

statement of philosophy, values, beliefs, commitment (to growth, stability, survival), description of target population, description of problem that will be addressed, description of services that it will offer, and description of perceived benefit

statements that provide long term direction for the program. They are usually broad and lacking details

Who, What, How much, by when

specific statements of the short term goals. SMART objectives

communication; educational; community advocacy; behavioral; environmental change; incentive/discentive activities; health status evaluations (like health fairs)